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Priorities for research on equity and health: towards an equity-focused health research agenda

机译:公平与健康研究的重点:朝着公平的健康研究议程迈进

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摘要

A 2009 World Health Assembly resolution on reducing health inequities through action on social determinants of health [1] calls for stakeholders, including researchers and research funders, to give this topic high priority. In 2004, the World Health Organization (WHO) established a Task Force on Research Priorities to outline a global research agenda on equity and social determinants of health. Its 2005 report [2] contributed to the selection of themes for nine Knowledge Networks set up by WHO to support the Commission on Social Determinants of Health (CSDH) during 2005–2008. CSDH defined health equity as the absence of systematic differences in health, between and within countries, that are avoidable by reasonable action. Using health equity as the foundation of its approach, CSDH concluded [3] that "[s]ocial injustice is killing people on a grand scale" and made three overarching recommendations: improve people's daily living conditions; tackle the inequitable distribution of power, money, and resources; and measure and understand the problem and assess the impact of action. CSDH emphasized that knowledge gaps must not be used as a reason for postponing action on the ample body of evidence already available, but also highlighted the need for ongoing research with a focus on social determinants of health and health equity.
机译:2009年世界卫生大会关于通过对健康的社会决定因素采取行动来减少健康不平等的一项决议[1],要求包括研究人员和研究资助者在内的利益相关者将这一主题作为重中之重。 2004年,世界卫生组织(WHO)成立了研究重点工作组,以概述有关健康的平等和社会决定因素的全球研究议程。其2005年的报告[2]为世界卫生组织在2005-2008年间支持健康社会决定因素委员会(CSDH)建立的九个知识网络的主题选择做出了贡献。 CSDH将健康公平定义为国家之间和国家内部不存在健康方面的系统性差异,这可以通过采取合理措施来避免。 CSDH以健康平等为基础,得出结论[3]:“社会不公正在大规模杀害人们”,并提出了三项总体建议:改善人们的日常生活条件;解决权力,金钱和资源的不公平分配;并衡量和理解问题并评估行动的影响。 CSDH强调,不能将知识鸿沟用作推迟对已经存在的大量证据采取行动的理由,而且还强调需要进行正在进行的研究,重点是健康与健康公平的社会决定因素。

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